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First Name

Last Name

Daytime Phone Number:

Email address:

Gender:

Male

Female

Age:

When was the last time you participated in a focus group for any company?

I never have.

Less than a month ago, or I am currently scheduled for one.

1-5 months

6-12 months

1 year or more

Which of the following describe your work status?

FT: . . . Work full-time (32+ hours per week)

PT: . . . Work 5-31 hours per week

Wk<5h: . . . Work occasionally (averaging under 5 hours per week)

HW: . . . Full-time Homemaker

FTStud: . . . Full-time student (12+ units)

PTStud: . . . Part-time student (11 or fewer units)

Ret: . . . Retired

Unemp: . . . Unemployed

What is your ethnicity?

What is your annual household income? That is, the income of you, your partner (if applicable) and others who contribute to home expenses.

Less than $30k

$31-50k

$51-79k

$80-99k

$100-149k

$150k+

In what city do you live?

How many watches do you own?

None

1

2

3

4

5 or more

What brands of watches have you acquired most recently?

Watch 1: Acquired most recently

Watch 2

Watch 3

Watch 4

Watch 5

How long ago did you acquire the watches mentioned above?

You don't need to fill out any but the top line.

Within the last 6 months

6 months to 1 year

1+ to 3 years

3+ to 5 years

More than 5 years ago

Watch 1

Watch 1 Within the last 6 months

Watch 1 6 months to 1 year

Watch 1 1+ to 3 years

Watch 1 3+ to 5 years

Watch 1 More than 5 years ago

Watch 2

Watch 2 Within the last 6 months

Watch 2 6 months to 1 year

Watch 2 1+ to 3 years

Watch 2 3+ to 5 years

Watch 2 More than 5 years ago

Watch 3

Watch 3 Within the last 6 months

Watch 3 6 months to 1 year

Watch 3 1+ to 3 years

Watch 3 3+ to 5 years

Watch 3 More than 5 years ago

Watch 4

Watch 4 Within the last 6 months

Watch 4 6 months to 1 year

Watch 4 1+ to 3 years

Watch 4 3+ to 5 years

Watch 4 More than 5 years ago

Watch 5

Watch 5 Within the last 6 months

Watch 5 6 months to 1 year

Watch 5 1+ to 3 years

Watch 5 3+ to 5 years

Watch 5 More than 5 years ago

Of the watches you have acquired most recently, could you please note how they were acquired, and if purchased, how much you paid?

You don't need to fill out any but the top line.

Inherited / Passed on from Family

Purchased: Under $1000

Purchased: $1000-2299

Purchased: $2500-4999

Purchased: $5000 or more

Other

Watch 1

Watch 1 Inherited / Passed on from Family

Watch 1 Purchased: Under $1000

Watch 1 Purchased: $1000-2299

Watch 1 Purchased: $2500-4999

Watch 1 Purchased: $5000 or more

Watch 1 Other

Watch 2

Watch 2 Inherited / Passed on from Family

Watch 2 Purchased: Under $1000

Watch 2 Purchased: $1000-2299

Watch 2 Purchased: $2500-4999

Watch 2 Purchased: $5000 or more

Watch 2 Other

Watch 3

Watch 3 Inherited / Passed on from Family

Watch 3 Purchased: Under $1000

Watch 3 Purchased: $1000-2299

Watch 3 Purchased: $2500-4999

Watch 3 Purchased: $5000 or more

Watch 3 Other

Watch 4

Watch 4 Inherited / Passed on from Family

Watch 4 Purchased: Under $1000

Watch 4 Purchased: $1000-2299

Watch 4 Purchased: $2500-4999

Watch 4 Purchased: $5000 or more

Watch 4 Other

Watch 5

Watch 5 Inherited / Passed on from Family

Watch 5 Purchased: Under $1000

Watch 5 Purchased: $1000-2299

Watch 5 Purchased: $2500-4999

Watch 5 Purchased: $5000 or more

Watch 5 Other

Could you also please let us know a bit more about your most recently acquired watches?